BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  SB 542
                                                                  Page  1

          Date of Hearing:   July 5, 2011
          Counsel:        Gabriel Caswell


                         ASSEMBLY COMMITTEE ON PUBLIC SAFETY
                                 Tom Ammiano, Chair

                     SB 542 (Price) - As Amended:  June 20, 2011


           SUMMARY  :   Creates rules and regulations for the tattooing of 
          inmates in state prison.  Specifically,  this bill  :  

          1)Requires that inmates only receive, remove, or permit removal 
            of tattoos from themselves or others if it is done in a manner 
            sanctioned by the warden, as specified. 

             a)   In a supervised environment that the warden determines 
               does not compromise the safety of the inmate, other 
               inmates, prison personnel, or the public at large.

             b)   If a qualified medical professional is present and 
               provides appropriate supervision.

             c)   In accordance with the required health and safety 
               standards outlined in Health and Safety (HSC) Sections 
               119308 and 119309.

          2)Prohibits inmates from tattooing themselves or permitting 
            themselves or others to be tattooed with gang-affiliated, 
            racist, anti-Semitic, or similarly intolerant tattoos.

          3)Makes related findings and declarations:

             a)   Prisoner-initiated tattoos are widespread in the 
               California correctional system;

             b)   According to the Centers for Disease Control (CDC), 
               there is an average of 1,240 inmates infected with HIV/AIDS 
               in California's prisons.  The CDC estimates the cost to 
               care for these inmates at over $18 million;

             c)   It is estimated that nearly 40% of the state's prison 
               population is infected with Hepatitis C, according to a 
               lawsuit filed in 2008;








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             d)   90% of all prisoners are ultimately released from state 
               prison;

             e)   The majority of inmates have sex within the first 24 
               hours of their release from state prison;

             f)   The average duration of incarceration in California 
               prison is just over two years;

             g)   Transmission of HIV and Hepatitis C in prison quickly 
               affects the general population;

             h)   It is in the interests of protecting the public health 
               to acknowledge that tattooing occurs in prison and to take 
               steps to make prison tattoos safer and less prone to 
               transmission of blood-borne pathogens; and,

             i)   Acknowledging the behavior that tattooing occurs in 
               prison, combined with appropriate supervision, will 
               ultimately help to mitigate dangerous conditions for 
               correctional officers and public health crises for the 
               communities into which inmates are released.

           EXISTING LAW  :

          1)Provides that the president of the California Conference of 
            Local Health Officers shall act as the chairperson of a task 
            force to be formed for the purpose of recommending legislation 
            to the Legislature concerning licensing, training, sanitation, 
            and other subjects deemed necessary to protect the health and 
            welfare of persons seeking the services of practitioners of 
            tattooing, body piercing, and permanent cosmetics.  The task 
            force shall be composed of 10 persons to be appointed by the 
            President of the California Conference of Local Health 
            Officers, and shall include a representative from the State 
            Board of Barbering and Cosmetology, a physician and surgeon 
            licensed in California, a representative from a nonprofit 
            professional body piercers' association, a representative from 
            a nonprofit professional tattooists' association, a 
            representative from a nonprofit professional permanent 
            cosmetic association, a representative from a nonprofit 
            professional cosmetology association, and a representative 
            from an organization representing the interests of local 
            health departments.  The president of the California 








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            Conference of Local Health Officers may appoint the remaining 
            three members from any other groups that may, in the judgment 
            of the president, be of assistance.  (HSC Section 119308.)

          2)States that inmates shall not tattoo themselves or others, and 
            shall not permit tattoos to be placed on themselves.  Inmates 
            shall not remove or permit removal of tattoos from themselves 
            or others.  (California Code of Regulations Title 15 Section 
            3063.)   

           FISCAL EFFECT  :  Unknown

           COMMENTS  :   

           1)Author's Statement :  According to the author, "In the interest 
            of protecting public health, SB 542 recognizes that 
            prisoner-initiated tattoos are widespread in California State 
            Prisons.  This measure takes steps to reduce the alarming rate 
            of infectious diseases not only among inmates but correctional 
            officers, and the communities in which released inmates will 
            return.

          "Current regulations to prohibit tattooing in California prisons 
            has not been effective policy; results in tattooing practices 
            done secretly in unhygienic environments with makeshift 
            equipment.  These underground practices continue to contribute 
            to the spread of infectious diseases in our prisons and our 
            communities.

          "SB 542 aims to save lives and reduce health care costs to the 
            state by ensuring that such practices are done so in a safe 
            manner and under supervision."  
           
           2)Current CDCR Practices Ban Tattoos Outright  :  This bill 
            provides guidelines for tattooing of inmates under the 
            following conditions:  (a) the tattooing is conducted in a 
            supervised environment that the warden determines does not 
            compromise the safety of the inmate, other inmates, prison 
            personnel, or the public at large; (b) with a qualified 
            medical professional present who provides appropriate 
            supervision; and, (c) in accordance with specified health and 
            safety requirements.   

          However, currently CDCR has a policy which does not allow for 
            the tattooing of inmates under any circumstances:  "inmates 








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            shall not tattoo themselves or others, and shall not permit 
            tattoos to be placed on themselves.  Inmates shall not remove 
            or permit removal of tattoos from themselves or others."  
            (California Code of Regulations Title 15 Section 3063.)

          This bill effectively permits the tattooing of CDCR inmates 
            where current law does not.  
           3)Reasons for this Bill :  The author's office believes that this 
            bill is necessary due to the rampant transmittal of 
            blood-borne diseases in CDCR facilities due to unsanitary 
            tattooing practices.  The author's office presents the 
            following as factual determinations in this bill:  

             a)   Prisoner-initiated tattoos are widespread in the 
               California correctional system.

             b)   According to CDC, there is an average of 1,240 inmates 
               infected with HIV/AIDS in California's prisons.  The CDC 
               estimates the cost to care for these inmates at over $18 
               million.

             c)   It is estimated that nearly 40% of the state's prison 
               population is infected with Hepatitis C, according to a 
               lawsuit filed in 2008.

             d)   90% of all prisoners are ultimately released from state 
               prison.

             e)   The majority of inmates have sex within the first 24 
               hours of their release from state prison.

             f)   The average duration of incarceration in California 
               prison is just over two years.

             g)   Transmission of HIV and Hepatitis C in prison quickly 
               affects the general population.

             h)   It is in the interests of protecting the public health 
               to acknowledge that tattooing occurs in prison and to take 
               steps to make prison tattoos safer and less prone to 
               transmission of blood-borne pathogens.

             i)   Acknowledging the behavior that tattooing occurs in 
               prison, combined with appropriate supervision, will 
               ultimately help to mitigate dangerous conditions for 








                                                                  SB 542
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               correctional officers and public health crises for the 
               communities into which inmates are released.  
              
           4)AIDS and HIV in State Prison  :  According to CDCR data as of 
            2007, there is an average of 1,240 inmates infected with 
            HIV/AIDS in California's prisons.  CDCR estimates the cost of 
            care for these inmates at over $18 million.  Because CDCR does 
            not require HIV testing, the true number of infected inmates 
            is unknown.  According to the University of California, San 
            Francisco, the rate of HIV infection among inmates is eight to 
            ten times higher than among the general population.  Various 
            studies provided by the author attribute this high rate to 
            intravenous drug use prior to incarceration.  Due to the 
            difficultly in conducting studies and limited availability of 
            information, the rate causes of infection for inmates after 
            incarceration are unknown.  However, these studies estimate 
            that sexuality activity is the leading cause for HIV infection 
            in prison. 
           
           5)Prior Legislation  :  AB 1334 (Swanson), of the 2007-08 
            Legislative Session, enacted the "Inmate and Community Public 
            Health and Safety Act", which requires the Secretary of CDCR 
            to allow any non-profit or health care agency to distribute 
            sexual barrier protection devices.  AB 1334 was vetoed.  

           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          None 

           Opposition 
           
          None

           
          Analysis Prepared by  :    Gabriel Caswell / PUB. S. / (916) 
          319-3744